Crisis Care and Life Enhancement Center LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC

Practice address

800 N Rainbow Blvd Ste 120
Las Vegas, NV 89107-1190

Phone

(702) 966-7340

NPI assigned

Oct 9, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Antwone Owens Sr.

Title

Owner

Phone

(725) 293-1333

Specialties & licenses 3

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1639998263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071190",
            "telephone_number": "702-966-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N RAINBOW BLVD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071190",
            "telephone_number": "702-966-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISIS CARE AND LIFE ENHANCEMENT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "ANTWONE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-293-1333",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crimson Heights
• Breaun Criner
• Vilma Criniere
• Connor Crinigan
• John Joseph Criscuolo III, D.O.
• Crisis Care Recovery Center LLC
• Elyzabeth Crisostomo, RN
• Jolene Cabrera Crisostomo
• Charles Ray Crispen Jr., D.O.
• Lisa Crist

• All providers in Las Vegas, NV
• Mental Health Counselor in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.